Digital Commons Network^™

Increased Depressive And Anxiety Symptoms Predict Increased Severity Of Functional Impairment After Five Years: A Nationally Representative Retrospective Cohort Study, Elisabeth C. Demarco, Samantha Zocher, Blake Miyamoto, Leslie Hinyard, Divya S. Subramaniam

Journal of Patient-Centered Research and Reviews

Purpose: Performing self-care and domestic life tasks are key aspects of functional independence for older adults. While both depression and anxiety symptoms are correlated with increased functional limitation, these disorders are often studied separately, despite frequent co-occurrence and plausible interaction, and without the consideration of social health. This study examined the impact of comorbid depressive and anxiety symptoms, controlling for social participation and loneliness, on severity of functional limitation in a nationally representative sample of older adults to improve patient-centered care.

Methods: The National Social Life, Health, and Aging Project (NSHAP) Rounds 2 and 3 data were utilized. Primary outcomes …

Beyond The Status Of Health: A Collection Of Stories Representing Diverse Maternal Mental Health Perspectives, Sara Santarossa, Ruth A. Blake, Heather Buchanan, Mercedes Price, Rachael Guzzardo, Craig Guzzardo, Lakenya M. Johnson, Jacobeth M. Morshall, Andrea Bate, Wayne Bate, Riziki Bakari, Leah Copeland, Dana Murphy, Ashley Redding, Amy Loree

Journal of Patient-Centered Research and Reviews

As part of a Patient-Centered Outcomes Research Institute (PCORI) Eugene Washington Engagement Award aimed at improving capacity to address maternal mental health in research, this collection of eight stories describes the unique experiences from caregivers (N = 2), patient/caregiver dyads (N = 2), healthcare stakeholders (N = 2), and community stakeholders (N = 2). Shared here are narratives dedicated to uplifting and supporting maternal mental health through storytelling. Elevating the voices and lived experiences of these diverse perspectives helps one understand the deeper and sometimes “invisible” needs of birthing people, thus moving beyond the status quo.

A Half Century Of Criminalizing Serious Mental Illness: Observations And Considerations, Arthur J. Lurigio

DePaul Journal of Health Care Law

This article describes the difficulties of working with people with serious mental illnesses (PSMIs) at every stage of the criminal justice process—from arrest to post- incarceration release from prison. The needs of PSMI for mental health and social services are complex and require different case management plans and strategies at various points in the process. Severe mental illnesses (SMIs), such as schizophrenia, major depression, and bipolar disorder, stem from abnormalities in the brain structure and neuroprocessing that cause significant distress and dysfunction. People with serious mental illnesses typically suffer from a variety of other related problems (e.g., addiction) that can …

Commit To Supporting Your Team’S Mental Health With Safehaven, Shannon Jacobs

Virginia Dental Journal

The Virginia Dental Association (VDA) has partnered with the Medical Society of Virginia to offer the SafeHaven™ program to its members, their teams, and immediate family members. SafeHaven™ provides confidential support for mental health and well-being, including peer coaching, counseling services, leadership development, peer support groups, and a WorkLife Concierge. The program aims to help dental professionals manage stress, burnout, and other mental health challenges without fear of stigma or professional consequences.

The Benefit Of Green And Blue, Maddie Fitzgerald

D.U.Quark

No abstract provided.

Feasibility And Acceptability Of The Mazi Umntanakho Digital Tool In South African Settings: A Qualitative Evaluation, Catherine E. Draper, Caylee J. Cook, Elizabeth A. Ankrah, Jesus A. Beltran, Franceli L. Cibrian, Kimberley D. Lakes, Hanna Mofid, Lucretia Williams, Gillian R. Hayes

Engineering Faculty Articles and Research

To address the need for interventions targeting social emotional development and mental health of young children in South Africa, the Mazi Umntanakho (‘know your child’) digital tool was co-designed, and piloted with caregivers and 3–5-year-old children involved in home visiting programmes promoting early childhood development. The aim of this study was to qualitatively evaluate the feasibility and acceptability of this tool in four urban and four rural low-income communities, from the perspective of home visitors and caregivers. Focus groups were conducted with home visitors (n = 117) and caregivers (n = 72). Issues relating to the feasibility of …

Perceived Stress And Coping Mechanisms Observed In Professional Master’S Athletic Training Students, Emily Madrak, Jennifer L. Volberding, Emily Madrak

Internet Journal of Allied Health Sciences and Practice

Purpose: With the shift in level of athletic training education, studies regarding undergraduate students, especially regarding stress and coping, are quickly becoming obsolete. Because of this shift, we sought to investigate level of perceived stress (PS) in professional master’s athletic training (PMAT) students, coping skills used to mitigate PS, and what coping skills form a relationship to alter PS. We observed these variables by gender, age, year in program, and curriculum delivery model. Method: We used a quantitative cross-sectional study online survey to recruit students who were currently enrolled in a Commission on Accreditation of Athletic Training Education (CAATE) accredited …

Comprehensive Breast Cancer-Related Lymphedema Management Programs Addressing Both Psychosocial And Physical Needs: A Scoping Review, Amanda Wheeler, Claudine Campbell, Chenchen Cui

The Open Journal of Occupational Therapy

Background: Breast cancer is the leading cause of female cancer worldwide, which can lead to many negative sequelae, with up to a third of women developing breast cancer-related lymphedema. Breast cancer-related lymphedema requires chronic maintenance and is associated with worse physical and mental health outcomes compared to women without lymphedema. Occupational therapists are well-positioned to address the complex needs of women with breast cancer-related lymphedema. This review aimed to identify existing research that reports outcomes of lymphedema management programs addressing both physical and mental health needs of women with breast cancer-related lymphedema.

Method: A scoping review was conducted …

Performance Art Is Ripe For Layering: Performance Art As A Therapeutic Intervention, Nur Greene

Expressive Therapies Capstone Theses

Performance art is an artform which benefits Expressive Arts Therapy (ExAT), the field of expressive therapies, and the mental health profession itself. For the purposes of this literature review, performance art is defined as any expression which attempts to be transformative, is witnessed by self or other, matching at least two modes of creative expression, often interacting with those witnessing, and which offers some element of experiment. Expressive Arts Therapy, a modality of therapy within the expressive therapies aimed to move (transfer) creative expression from one artform to another and develop a connection between different artistic representations and one’s psyche, …

"It Would Ruin My Life”:Pacific Islander Male Adolescents’ Perceptions Of Mental Health Help-Seeking Interpretative Phenomenological Analysis Focus Group Study, Melia Fonoimoana Garrett, Elizabeth Cutrer, G. E. Kawika Allen, Ellie Young, Kristopher J. Urbina, Isabel Medina Hull

Faculty Publications

Given rising mental health concerns among Pacific Islander (PI) adolescents, this population remains underserved by available mental health resources. This interpretative phenomenological analysis with focus groups (IPA-FG) examined the lived experiences and perceptions of 19 male PI adolescents (ages 14–16) from Native Hawaiian, Maori, Samoan, and Tongan backgrounds regarding mental health help-seeking behaviors. Four overarching themes emerged: stigma and judgment, cultural misalignment in professional services, impact of disclosure and perceived punitive consequences, and a complex ecosystem of trusted relationships as mental health support. Notably, participants expressed belief that disclosing mental health challenges would “ruin their lives” and held misconceptions about …

A Survey-Based Quantitative Analysis Of Stress Factors And Their Impacts Among Cybersecurity Professionals, Sunil Arora, John D. Hastings

Research & Publications

This study investigates the prevalence and underlying causes of work-related stress and burnout among cybersecurity professionals using a quantitative survey approach guided by the Job Demands-Resources model. Analysis of responses from 50 cybersecurity practitioners reveals an alarming reality: 44% report experiencing severe work-related stress and burnout, while an additional 28% are uncertain about their condition. The demanding nature of cybersecurity roles, unrealistic expectations, and unsupportive organizational cultures emerge as primary factors fueling this crisis. Notably, 66% of respondents perceive cybersecurity jobs as more stressful than other IT positions, with 84% facing additional challenges due to the pandemic and recent high-profile …

Holistic Health: A Psychosocial Health And Wellness Program For College Students, Elizabeth C. Fasti

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

The Holistic Health program is a doctoral capstone quality improvement project that aims to increase the quality of life (QoL) and well-being for higher education students and increase staff and faculty knowledge of college students' mental health. Driven through education and program development, the program includes four key action plans. The first action plan was an in-person mindfulness-based program for college students. The second action plan includes a proposal for environmental adaptations to foster a safe and supportive campus environment for students. The third action plan includes expanding ready-to-use wellness and mindfulness resources for higher education students. The fourth and …

Good Trips, Bad Trips: Attachment, Connectedness, And Mental Health In Psychedelic Experiences, Sean Michael Nickley

Selected Full-Text Dissertations 2020-

Research into psychedelic-assisted psychotherapies and the overall psychedelic experience is in a period of acceleration, with hopes from multiple disciplines that such research might uncover novel and effective treatments for myriad psychological disorders. Much research to date has examined the neurobiological underpinnings of psychedelic states. The current study, existing as part of a larger trend examining the phenomenological and psychological mechanisms of psychedelic experience, sought to examine the ways in which attachment dynamics influenced the type of psychedelic experience—mystical versus challenging—and the subsequent effects on social connectedness and psychiatric symptoms. Prior research had suggested that individuals with more anxious attachment …

Exploring Stress Management Spaces Using Sensory Engagement On College Campuses: A Scoping Review, Karen R. Puckett

Occupational Therapy Doctorate Capstone Projects

Background: College students experience high levels of stress, with associated negative outcomes such as poor mental and physical health. In response, colleges and universities have explored the use of stress management spaces designed to address and promote improved mental health and wellbeing, but evidence regarding the most effective design and impact of these spaces is limited.

Purpose: The purpose of this project was to conduct a scoping review of the available literature related to stress management in higher education settings. The research questions are: What are the characteristics and design features of these spaces, and how do stress management spaces …

Examining The Role Of Peer And Family Belongingness In The Mental Health Of Black Lgbtq+ Youth, Keith J. Watts, M. Alex Wagaman, Andrew D. Eaton, Vivian W. Y. Leung, Shelley L. Craig

Social Work Faculty Publications

A sense of belonging to familial and peer networks is crucial for the mental health of LGBTQ + youth. Black LGBTQ + youth report feeling rejected and isolated due to their sexual and/or gender identities. Utilizing linear regression analyses, this study explored the relationship between peer and family belongingness and levels of depression, anxiety, and self-rated mental health among 181 Black LGBTQ + youth in the United States and Canada. Findings suggest that family and peer belongingness are important factors in Black LGBTQ + youth’s mental health and warrant further study into the protective nature of peer and family relationships …

(Non)Police Brutality, Shawn E. Fields

Faculty Scholarship

Local governments increasingly rely on unarmed, nonpolice experts to provide public safety services. In response to demands to reduce police violence, many municipalities have empowered paramedics, mental health counselors, social workers, and homeless outreach personnel, to triage health and safety issues without police involvement. Pilot programs reallocating police funds to these alternate responders appear to reduce arrest rates and rates of police violence. But they have not eliminated acts of violence committed by these nonpolice actors themselves. Shocking stories of paramedics chemically sedating motionless patients to death, social workers assaulting clients, and homelessness response units brutally dispersing unhoused persons after …

Social Media Influences On Youth Substance Use, Sexual Health, And Mental Health In Paterson, New Jersey: A Rapid Qualitative Analysis, Nimisha Srikanth

Public Health Theses

Introduction: Social media use among youth has become a topic of concern among public health professionals and policymakers. Youth have grown to rely on social media for communication and entertainment, but are exposed to negative health behaviors with the potential to model them in their lives. In this study, we investigated youth’s perspectives on social media content and the impact it has on their health and lives.Methods: We conducted a rapid qualitative analysis of individual interviews of youth from Paterson, New Jersey. Among the sample (n=20), the mean age was 16 years, 80% identified as male, and 30% were justice-involved. …

Barriers And Facilitators To Accessing Mental And Physical Health Care Among Sexual Minority Women: A Qualitative Exploration, Charlotte A. Dawson, A. Moulder, Kristin E. Heron

Department Psychiatry & Behavioral Science Faculty Publications

Cisgender sexual minority women (SMW, e.g., lesbian, queer) are at greater risk for poor mental and physical health compared to heterosexual women and face challenges when accessing health care. Previous research has largely focused on general sexual and gender minority barriers to health care, but more research is needed on the experiences of specific subgroups, including cisgender SMW. The current study qualitatively explored barriers and facilitators for cisgender SMW seeking health care. Twenty cisgender SMW aged 18-40 recruited using Meta advertisements and past participant lists completed 45 min semi-structured interviews and a brief survey. Thematic analysis conducted by two coders …

The Impact Of Family Variables On The Mental Health Of Gender Expansive Transitional Age Youth And Adults, Courtney Erdly

West Chester University Doctoral Projects

Gender expansive individuals are at an elevated risk for stress and poor psychological outcomes such as depression, substance abuse, and death by suicide due to minority stress. Family variables can either protect against or perpetuate poor psychological outcomes. There is need to examine specific protective and risk factors in families with gender expansive children. The present study explores the relationship between family and caregiver relationship variables and well-being in a sample of 39 gender expansive individuals. Participants completed an online survey consisting of questionnaires measuring current internalizing and externalizing symptoms and their perception of their family structure, functioning, and parental …

Athletes Thriving Health, Resilience, And Inspiration For Victory And Empowerment (Thrive): A University Athletics Mental Health Program, Grace E. Yeatman

Entry Level Occupational Therapy Doctoral Capstone Projects Class of 2025

Athletes Thriving Health, Resilience, and Inspiration for Victory and Empowerment (THRIVE) is an occupational therapy (OT) doctoral capstone project that was created to address increased rates of mental health concerns as well as significant levels of mental health stigma among university athletes (Johnson, 2022). The goals of this capstone project were to educate and train athletes in mental health and wellness to support healthy engagement in occupations, promote self-advocacy with seeking mental health services, and increase athletic department staff comfortability and capability with addressing athlete mental health. OT programs and interventions with this population are mainly in the context of …

Capstone Research On Missoula, Montana, Rental Market Impact On Undergraduate Students’ Well-Being, Alysa Curry, Aidan Rasmussen, Halston Witt, Tristan Clifford, Sadie Arnold

Undergraduate Theses, Professional Papers, and Capstone Artifacts

This research project examined how rental housing challenges in Missoula, Montana, impacts the well-being of students at the University of Montana and Missoula College. With rising rent prices and limited affordable housing options, students face growing stress related to finances, housing stability, and academic life. To explore this, we created a survey asking students about their living situations, financial pressures, social support, and mental health. We calculated a Well-being Score based on housing stress, social support, and future confidence to identify the biggest factors affecting student well-being.

Despite facing challenges in distributing the survey and gathering responses, the results revealed …

Shaping A Wellness-Oriented Culture: A Mixed-Methods Exploration Of The Mental Health Training And Stigma Reduction Among College Seminarians, Evan P. Taja-On

Journal of Catholic Education

Mental health is vital to seminarians' holistic development, playing a crucial role in their personal growth and pastoral readiness. Equipping seminarians with mental health training enhances their human formation and addresses stigma, creating a foundation for more compassionate and effective ministry. The study utilized an explanatory research design with 11 college seminarians as the participants. The study reveals that mental health training significantly improved seminarians' knowledge, awareness, and beliefs, leading to a more supportive and informed approach to mental well-being. Seminarians transitioned from initial skepticism to active mental health advocacy, recognizing the importance of psychological support alongside spiritual care. The …

Psychedelic Medicine Exceptionalism, Mason Marks, I. Glenn Cohen

Scholarly Publications

Research on psychedelic medicines is experiencing a revival. Some clinicians, scientists, and ethicists believe that psychedelics are so different from other treatments that they warrant special consideration in how they are researched, regulated, commercialized, and administered. Others argue that psychedelic medicines show clinical potential, but they should be treated like other medical interventions. In other words, identical standards should apply. This article analyzes whether psychedelic medicines warrant special consideration from a regulatory and ethical perspective.

Schizophrenia: Breaking The Myths, Peighton Hunt

A with Honors Projects

Throughout the years, schizophrenia has been commonly misunderstood and misrepresented within the media. Film, television, news outlets, and even social media frequently fail to do research before involving mental health, both intentionally and unintentionally creating turmoil for innocent people. Most of the depictions created are completely false and fail to properly reflect the reality of the disorder. Mental health is a hot topic, especially with young adults and college students. However, to this day schizophrenia still continues to be one of the most misunderstood and stigmatized mental disorders. By being educated on the reality of schizophrenia, we can help eliminate …

Mental Health Support Workers Perspectives On Barriers To And Facilitators Of The Effective Delivery Of Their Roles: A Systematic Review And Meta-Aggregation, Martha Njuguna, Irene Ngune, Yvonne Middlewick

Research outputs 2022 to 2026

Mental health support workers (MHSWs) are an important workforce within the mental health care system. Research shows that support services delivered by MHSWs are effective at improving the outcomes of individuals with mental illness. However, there is also literature suggesting that this group of workers are facing many challenges in their roles. This qualitative systematic review sought to explore, analyze and synthesize available primary research literature on the experiences of MHSWs with the aim of identifying the barriers to and facilitators of effective delivery of their roles. An electronic search of Medline, CINAHL, PsycINFO, and Web of Science was conducted …

Associations Between Flavonoid-Rich Food And Flavonoid Intakes And Incident Unhealthy Aging Outcomes In Older United States Males And Females, Nicola P. Bondonno, Yan Lydia Liu, Francine Grodstein, Eric B. Rimm, Aedín Cassidy

Research outputs 2022 to 2026

Background: Our knowledge of the importance of flavonoid-rich foods in preventing unhealthy aging across its different domains is limited. Objectives: This study aimed to examine prospective associations between flavonoid-rich food and flavonoid intakes and indicators of unhealthy aging, namely frailty, impaired physical function, and poor mental health. Methods: We followed up 62,743 females and 23,687 males, all aged ≥60 y, from the Nurses’ Health Study (1990–2014) and Health Professionals Follow-up Study (2006–2018), respectively. Both time-updated and change in intakes of a flavodiet score (an aggregate of intakes of major flavonoid-rich foods and beverages) and individual flavonoid-rich foods and beverages and …

Mindfulness & Mental Health: Balanced Time Perspective As A Mediator, Eddie Trueblood

Masters Theses

Mindfulness is a practice of intentionally paying attention to the present moment in a nonjudgmental way. Being more mindful can decrease symptoms of anxiety, depression, and stress, among other mental and physical health improvements. (Donald et al., 2016; Hofmann et al., 2010; Kabat-Zinn et al.,1992). This study examined if balanced time perspective (BTP) is one of the mechanisms of action of mindfulness in its relationship with depression, anxiety, and stress. BTP refers to a person’s ability to flexibly adapt their time perspective (attention to the past, present, or future, and positive or negative attitudes toward each) to suit the current …

The Chemical Straightjacket: Institutional Over-Use Of Psychotropic Drugs On Children In Lieu Of Therapeutic Community Mental Health Services, Marisa Leib-Neri

Indiana Journal of Law and Social Equality

This Article argues that the abysmal state of children’s mental health in America is in part due to an overreliance on and over prescription of psychotropic drugs inside psychiatric residential institutions in lieu of community based mental health services. This overreliance on residential institutions and psychotropic drugs has allowed a new form of chemical restraint to flourish—the chemical straitjacket. This Article uses the medication lists of twelve children in seven different North Carolina psychiatric residential treatment facilities to demonstrate how the chemical straitjacket operates: the prescription of drugs not approved for pediatric populations, counter to evidence-based practices for particular diagnoses, …

Ministry Organization Response To The Mental Health Crisis, Bryn L. Wood

Senior Honors Theses

The mental health crisis has been negatively affecting individuals across the globe for about half a century, only growing in its impact each year. However, following the Covid-19 pandemic, mental health crises skyrocketed. This is especially true for youth and young adults as physical isolation has altered many facets of their lives. This thesis will explore the mental health crisis, as well as the way it has impacted youth and young adult organizations. Specifically, it will discuss research on recommended ways for these organizations to respond to the mental health crisis through unique programming and how these practices have been …

The Triangle Of Social Media, Mental Health, And Activism: Lessons From July 2024 Anti-Discrimination Students Movement In Bangladesh, Md Belal Hossain

All Graduate Theses, Dissertations, and Other Capstone Projects

This project explores social media, mental health, and activism as three interconnected avenues of academic inquiry in the context of a student movement called the Anti-Discriminatory Students Movement (ADSM), that took place in July-August 2024 in Bangladesh. The movement, also called July Revolution (Bangladesh), overthrew a 16-year-ruling autocratic government and propelled the nation towards significant structural and political reform efforts. Utilizing a mixed method approach, including key informant interviews (N=6) and an online survey (N=396), it investigates how the triangle of social media, mental health, and activism evolved during this movement. Interview analysis reveals five major themes: 1) Ambiguity in …